Lighthouse Recovery Services LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIGHTHOUSE RECOVERY SERVICES LLC

Practice address

6630 E Hampden Ave
Denver, CO 80224-3004

Phone

(855) 415-0034

Fax

(303) 484-4024

NPI assigned

Mar 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward Ruvins, DDS

Title

Partner

Phone

(515) 447-3582

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1275118333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243004",
            "telephone_number": "720-934-6070",
            "fax_number": "303-484-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243004",
            "telephone_number": "855-415-0034",
            "fax_number": "303-484-4024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11191 E Harvard Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800141708",
            "country_code": "US",
            "telephone_number": "720-934-6070",
            "fax_number": "303-484-4024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "RUVINS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "515-447-3582",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Elizabeth Light
• Todd Derek Light, DDS
• Amber Lightbody
• Lighthouse Neurofeedback & Behavior Analysis, Inc. (Lighthouse Neurofeedback & Behavioral Health)
• Lighthouse Pathways LLC
• Lighthousetherapy, LLC
• Lightwells Counseling PLLC
• Ana Likman, MSW
• Kalli Kristine Likness, LPC
• Karin E Liljestrand, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.